PT-06-1420 i
�•�� i Miami Shores Village
e Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida.33138
Tel:(305)795.2204 Fax:(305)756.8972
BUILDING Permit
PERMIT AP LICATION FA2
Z00 aster Permit No.
FBC 2004
B -- -
Permit Type(circle): uildin Elec lum-' Mechani cal Roofing
Owner's Name(Fee Simpi a Titleholder) Se Phone#�
Owner's Address--- - '(o , LU /,0 n 1-
City i X.I . ' State rc Zip _5.,S(3 e '
Tenant/Lessee Name Phone#
Job Address where the work is being done I
City Miami Sh res Village County . Miami-Dade Zip
FOLIO/PARCEL#
Is Building Historically Designated YES NO "I _
Contractor's Company Name_1- 1�►Yylc Phone#
Contractor's Address
City State ip -
'
Qualifier Name Phone#
State Certificate or Registi ation No. Certificate of Competency No.
Architect/Engineer's Narr e(if applicable) Phone#
Value of Work For this ermit$ 100 a 00 Square/Linear Footage Of Work:
Type of Work: ❑Addition [--]Alteration ❑New ❑ Repair/Replace ❑Demolition
Describe Work: 0 Y" oerfa- N ✓LAS v�
US C
Submittal Fee$ 01 Permit Fee$ CCF$ CO/CC
Notary$ Training/Education Fee$_ Technology Fee$
Scanning$ Radon$ DPBR$ Zoning$
Bond$ Code Enforcement$ Double Fee$
Structural Review.$ Total Fee Now Due$
See Reverse side-�
i
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and AIR CONDITIONERS,ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY - BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection will not be approved and a n fee will be charged
Signature Signature
er or Agen Contractor
The foregoing instrument was ackno ledged before me this The foregoing instrument was acknowledged before me this
day of 1 ,20 Q(,by lr . day of .20 by
who is personally known to me or who has produced l a who is personally known to me or who has produced
As identification and who did take an oath. as identification.and who did take an oath.
N Y PUBLIC: NOy NOTARY PUBLIC:
"�►T'�PFLpRIDA
Si d�Z Sign:
Print Bonded 2009 Print:
8 o.,Inc.
My Co ission Expir U. My Commission Expires:
APPLICATION APPROVED BY: Plans Examiner
Engineer
Zoning
(Revised 02108/06)
r }
Miami Shores Village
Building Department
10050 N.E.2°d Avenue
Miami Shores,Fl 33138
Tel:305-795-2204
Fax:305-756-8972
8/24/2007
Owner:
10650 NE 10 Place
Miami Shores Village, FL 33138
RE: Process No.PT-5-06-1420
Address: 10650 NE 10 Place
Miami Shores Village, FL 33138
Dear Owner,
In reviewing our files, we have found that there is an open permit submittal dated back to
May 25th, 2006.
The file has been inactive for over one year and 3 months(455 days)without any
response from you or your representative.
i
As per the requirements of the 2004 Florida Building Code, section 105.3.2,
"An application for a permit for any proposed work shall be deemed to have been
abandoned 180 days after the date of filling, unless such application has been pursued
in good faith or a permit has been issued"
Please be advised that if no attempt is made to this Department in writing and justifiable
cause demonstrated within 15 days of receipt of this letter, the plans and related
paperwork submitted for permit will be considered abandoned, and will be destroyed.
Please do not hesitate to call me, if you have any questions related to the above
mentioned matter or any other issues related to our Department.
Sincerely
VV 7
Mabel Vargas
Building Department Supervisor
305-795-2204